Exam 22: Care of Patients with Alterations in Health

What gauge needle should be selected by the nurse when preparing to administer blood?

While teaching a patient about the signs of IV therapy-associated phlebitis, how does the nurse describe an area with phlebitis?

If a patient has a transfusion reaction, the nurse should perform the following interventions in which priority order? Put a comma and space between each answer choice (A, B, C, D, etc.). A) Take and record vital signs B) Notify physician and blood bank C) Stop the transfusion D) Monitor urine output E) Return blood and tubing to the blood bank

After a Foley catheter has been removed, the nurse should assess the patient for:

What is the nurse's first priority when a patient receiving IV fluid therapy shows an increase in blood pressure and has bilateral crackles?

The wife of a patient with a cuffed tracheostomy asks why the cuff is inflated intermittently. What is the purpose of the inflated cuff?

When a patient complains of progressive hearing loss, crackling and ringing noises in his ear, and progressive ear pain, what should the nurse assess for?

The appliance that connects to an IV drip and delivers a continuous irrigation to the eye is known as a ________ _________ _________.

Before inserting a nasogastric tube, what measurement should the nurse take?

When an older adult patient with chronic emphysema comes to the emergency department in respiratory distress, at what rate should the nurse begin oxygen per nasal cannula?

Why should the nurse instill eye irrigation from the inner to the outer canthus?

When irrigating an ear, the nurse should perform which intervention(s)? (Select all that apply.)

What would be the correct explanation of catheter care?

The nurse instructs a patient receiving home O? therapy to drink plenty of fluids to help keep bronchial secretions liquefied. What is the recommended fluid?

To what temperature should water for eye compress be heated?

The nurse is alert for a serious condition called ___________ that results from pathogens being introduced into the blood stream.

Hot moist compresses have which positive effect(s)? (Select all that apply.)

When an order for eye irrigation is received, to whom can the nurse delegate the procedure to?

When a patient asks if he can keep the heating pack on his leg all the time, the nurse reminds him of which of the following complication of long-term heat application?

The nurse notes an edematous area around the insertion site of an IV that is cool to the touch and the skin of which appears blanched. Based on these assessment findings, what is the first priority of the nurse?